Ces Urol 2005, 9(1):20-25 | DOI: 10.48095/cccu2005004

Functional results of radical retropubic prostatectomies

L. Jarolím, I. Kawaciuk, P. Hanek, L. Hyršl, P. Dušek, J. Jerie, M. Schmidt, V. Kaliská, M. Fabišovský, M. Rejchrt

Urologická klinika 2. LF UK a FN Motol, Praha, přednosta doc. MUDr. Ivan Kawaciuk, CSc.

Along with the oncological safety, the aim of radical prostatectomy is to preserve the continence and erectile function. The study evaluates the functional results of 100 consecutive radical prostatektomies underwent by the patients with clinically located prostate cancer during 15 months in the years 2001 - 2002. Postoperational continence was observed in three-months intervals and as significant there was evaluated the incontinence requiring the use of hygienic pads and the erectile function in relation to the ability of imission and coitus. Continence not requiring hygienic pads returned at 96 (96 %) of patients in 9 months. Four patients use 1 - 2 hygienic pads for persistent stress incontinence. Exceptional leak of few drops report 15 patients.
Erection efficient for emission returned at 41 (41 %) of patients in the interval of 1 -12 months, better results were achieved at the examination of posterolateral neurovascular bunches and especially at collateral examination of vesicle cupulas.

Keywords: prostate cancer, radical prostatectomy, continence, erection

Published: January 1, 2005